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Washington, DC rates for HCPCS 96522

Refill&Maintenance Pump Drug Dlvr Systemic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.44 / $132.13 / $152.49
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.00 / $122.96 / $195.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.35 / $160.58 / $344.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.79 / $128.19 / $282.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.07 / $134.18 / $317.91